Mental Health Resources
988 Suicide & Crisis Hotline
24/7 free and confidential support available by phone, text or chat.
988 Help Yourself
Resources to find a therapist, make a safety plan, resources for specific populations or situations. You can also call or text 988 to be connected with a counselor.
Washington Department of Health
List of resources compiled by Washington Department of Health.
National Alliance on Mental Illness
Resource guide by National Alliance on Mental Illness (NAMI).
Crisis Text Line
Text HOME to 741741 for 24/7 support.
National Maternal Mental Health Hotline
For support before, during and after pregnancy. Call or text 1-833-852-6262. This is not a crisis line. If you are in crisis, contact 988 or go to the emergency room.
Teen Link
Call (6pm-10pm) or text (6:30pm-9:30pm) 1-866-833-6546 to be connected with a trained youth volunteer.
Trevor Project
Focusing on LGBTQ youth. Call 1-866-488-7386 or text START to 678-678.
Washington Recovery Hotline
Sponsored by Washington Health Care Authority (HCA) 1-866-789-1511. 24/7 help for substance abuse, problem gambling and mental health. Additionally, there is a resource guide of Washington treatment locations.
Veterans Crisis Line
Call 988, Press 1 or text 838255 or use the online chat.
You Can Help Prevent a Suicide
Together, We Can Make a Difference.
L – Look for Signs
- Talking or joking about death; researching ways to die.
- Hopelessness, depression, anxiety, significant loss or shame.
- Sleep or appetite issues.
- Isolation, withdrawal from friends, or decreased work performance.
- Increased use of alcohol or drugs.
- Chronic pain or family history of suicide.
E – Empathize & Listen
- Offer compassion, not advice. Avoid judgment; accept their feelings.
- Summarize what you heard:
- “So, you’re feeling (alone, hopeless). That sounds overwhelming.”
- Acknowledge their suffering:
- “I can see you’re in a lot of pain. Thank you for telling me.”
- Just listen. People in crisis often say this helps the most.
A – Ask Directly
- Asking about suicide will NOT plant the idea in someone’s mind.
- If you notice troubling signs, ask calmly and directly:
- “Are you thinking about suicide?”
- “Sometimes when people feel (alone, hopeless), they think about suicide. Are you thinking about it?”
- “Are you thinking about killing yourself?”
R – Remove the Danger
- If they say yes, ask: “Do you have a plan?” or “Do you have a way to carry out your plan?”
- Put time and distance between someone at risk for suicide and lethal means:
- Remove or lock up firearms and medications.
- In a crisis, secure belts, ropes, knives, and chemicals.
- Report concerning posts on social media. Learn how: Support on Social Media
N – Next Steps
- Together, call the National Suicide Prevention Lifeline or other resources below.
- If they refuse to stay safe, stay with them as long as it’s safe for you.
- If calling 911 feels unsafe, consider calling a faith leader, elder, or trusted friend. Call 911 only in an emergency or as a last resort.
Adult Suicide Warning Signs
Risk is greater if a behavior is new or has increased, and if it seems related to a painful event, loss, or change.
- Talking about or making plans for suicide.
- Acting anxious or agitated; behaving recklessly.
- Talking about being a burden to others.
- Talking about feeling trapped or in unbearable pain.
- Increasing the use of alcohol or drugs.
- Talking about feeling hopeless or having no reason to live.
- Sleeping too little or too much.
- Withdrawing or feeling isolated.
- Showing rage or talking about seeking revenge.
- Displaying extreme mood swings.
Youth Suicide Warning Signs
It’s time to take action if you notice these signs in family or friends:
- Talking about or making plans for suicide.
- Expressing hopelessness about the future.
- Displaying severe or overwhelming emotional pain or distress.
- Showing worrisome changes in behavior, especially when combined with the signs above, including:
- Withdrawal from or changes in social connections or situations.
- Changes in sleep (increased or decreased).
- Anger or hostility that seems out of character or out of context.
- Recent increased agitation or irritability.



